Using IVUS during EVAR and TEVAR: Improving Patient Outcomes

Intravascular ultrasonography (IVUS) provides immediate and dynamic imaging of aortic pathology that can be helpful in treating aortic pathology. IVUS has been shown to reduce the need for contrast imaging during endovascular reconstruction for both infrarenal and thoracic aortic endografting. We provide a technique and rationale for routine use of IVUS during endovascular abdominal aneurysm repair to reduce contrast load, fluoroscopy time, and complications that ultimately can improve patient outcomes.